Individual
DR. SUSAN M HEFFLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3027 N CIRCLE DR, COLORADO SPRINGS, CO 80909-1179
(719) 776-4646
(719) 776-4640
Mailing address
3027 N CIRCLE DR, COLORADO SPRINGS, CO 80909-1179
(719) 776-4646
(719) 776-4640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40967
KY
207Q00000X
Family Medicine Physician
Primary
DR.0059357
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000638818
ANTHEM BC/BS
KY
05
—
7100005270
—
KY
05
—
9000163357
—
CO
01
—
C10499
MEDICARE RAILROAD PTAN
KY
01
—
DR.0059357
CO MEDICAL LICENSE
CO
Enumeration date
01/11/2007
Last updated
10/18/2023
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